Organization Active NPI

Optima Vitae, LLC

  • Home Health Agency
  • Bryan, TX
National Provider Identifier
1245804525
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OPTIMA VITAE, LLC
Practice address
307 S Main St Ste 201
Bryan, TX 77803-6950
Phone
(210) 305-9057
NPI assigned
May 19, 2021
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Lewis, MA, CCC-SLP
Title
Owner/President
Phone
(979) 431-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

307 S Main St Ste 201
Bryan, TX 77803-6950

Mailing address

307 S Main St Ste 201
Bryan, TX 77803-6950
Phone (979) 431-4848

National Provider Directory

National Provider Directory

Locations

307 S Main St
Ste 201
Bryan, TX 77803
Phone (210) 305-9057

3201 University Dr E
Ste 160
Bryan, TX 77802
Phone (979) 704-5409

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1245804525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S MAIN ST STE 201",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778036950",
            "telephone_number": "979-431-4848",
            "fax_number": "979-431-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S MAIN ST STE 201",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778036950",
            "telephone_number": "210-305-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA VITAE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "979-431-4848",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.